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Get Web Access for Employer
Get Web Access for TPA
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Step 1
Step 2: Already have a TPA account?
Register for a
TPA Account
Select the TPA registration button below to obtain a TPA account number for managing multiple authorized employer accounts. If you already have a TPA number complete the WEB ACCESS form on the right to register for online access to your TPA account. The First Name, Last Name and Email Address combination must be unique
If you have previously obtained web access but can not remember your login information, you may
reset your password.
Use the form below to
register for WEB ACCESS
* Third Party Administrator Number:
(10 digit number)
* Business Name:
* First Name:
* Last Name:
International Address?:
Yes
No
* Address Line 1:
Address Line 2:
* City:
* Province:
* State:
-Select-
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Dist of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
* Zip:
-
* Postal Code:
* Country:
-Select-
American Samoa
Armed Forces Africa (AE)
Armed Forces Americas (AA)
Armed Forces Canada (AE)
Armed Forces Europe (AE)
Armed Forces Middle East (AE)
Armed Forces Pacific (AP)
Australia
Bahrain
Belgium
Canada
China
Cuba
Denmark
Federated States of Micronesia (FM)
Finland
France
Germany
Great Britain
Guam
Iceland
INDIA
IRELAND
Italy
Japan
Korea
Marshall Islands (MH)
Mexico
New Zealand
Northern Mariana Islands (MP)
Palau (PW)
Portugal
Saudi Arabia
Singapore
Spain
Sweden
The Netherlands
Turkey
UAE
United States
* Email Address:
* Confirm Email Address:
* Desired Username:
(9-12 Characters)
I agree that the above information is true and complete to the best of my knowledge, and I am authorized to provide this information.I understand that by submitting this information I am applying for online access.